Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $95.50 / $190.55	Facility	26	$48.98	$95.50	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $213.80 / $724.44	Professional		$134.90	$213.80	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $165.96	Professional	26	$48.98	$67.61	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $123.03 / $316.23	Professional	TC	$81.28	$123.03	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $60.26 / $79.43	Professional	26	$48.98	$60.26	$79.43
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $123.03 / $125.89	Professional	TC	$54.95	$123.03	$125.89
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $81.28	Professional	26	$64.57	$64.57	$81.28
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $616.60	Professional		$134.90	$134.90	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $67.61 / $125.89	Professional	26	$51.29	$67.61	$125.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $125.89 / $398.11	Professional	TC	$79.43	$125.89	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $239.88 / $416.87	Professional		$128.82	$239.88	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $64.57 / $107.15	Professional	26	$38.90	$64.57	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $158.49 / $309.03	Professional	TC	$81.28	$158.49	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $223.87	Professional		$138.04	$186.21	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $67.61 / $81.28	Professional	26	$50.12	$67.61	$81.28
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $144.54	Professional	TC	$87.10	$114.82	$144.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $354.81	Professional		$138.04	$208.93	$354.81
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $60.26 / $109.65	Professional	26	$43.65	$60.26	$109.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $138.04 / $257.04	Professional	TC	$83.18	$138.04	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $169.82 / $177.83	Professional		$154.88	$169.82	$177.83
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $63.10 / $87.10	Professional	26	$57.54	$63.10	$87.10
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $64.57 / $85.11	Professional	26	$57.54	$64.57	$85.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $169.82	Facility	26	$48.98	$64.57	$169.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $218.78 / $416.87	Professional		$138.04	$218.78	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $66.07 / $120.23	Professional	26	$50.12	$66.07	$120.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $134.90 / $288.40	Professional	TC	$85.11	$134.90	$288.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $323.59 / $380.19	Professional		$234.42	$323.59	$380.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $57.54	Facility	26	$51.29	$51.29	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $181.97 / $338.84	Professional		$70.79	$181.97	$338.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $51.29 / $52.48	Professional	26	$50.12	$51.29	$52.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $81.28 / $89.13	Professional	TC	$79.43	$81.28	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $190.55 / $363.08	Professional		$120.23	$190.55	$363.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $61.66 / $107.15	Professional	26	$43.65	$61.66	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $117.49 / $281.84	Professional	TC	$77.62	$117.49	$281.84

Pennsylvania rates for HCPCS 72192